Survival in overweight and underweight children undergoing hematopoietic stem cell transplantation

Survival in overweight and underweight children undergoing hematopoietic stem cell transplantation
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DOI:
10.1038/ejcn.2012.109
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发表时间:
2012-10
影响因子:
4.7
通讯作者:
M. White;A. Murphy;A. Hallahan;R. Ware;C. Fraser;P. Davies
M. White;A. Murphy;A. Hallahan;R. Ware;C. Fraser;P. Davies
中科院分区:
医学3区
文献类型:
--
作者:
M. White;A. Murphy;A. Hallahan;R. Ware;C. Fraser;P. Davies

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结果:113例患者中,15例(13%)体重不足,41例(36%)超重。在调整了年龄、性别、供体来源、调理治疗和移植年份后,超重患者存活的可能性明显低于理想体重患者(风险比(HR)1.91;95%可信区间1.10-3.31)。与理想体重儿童相比,体重不足患者的死亡率没有显著增加(HR 1.47;95%可信区间0.57-3.79)。结论:造血干细胞移植前超重儿童的存活率低于理想体重儿童。
Results:Of 113 patients, 15 (13%) were underweight and 41 (36%) were classified as overweight. After adjustment for age, sex, donor source, conditioning therapy and year of transplant, overweight patients were significantly less likely to survive than ideal-weight patients (hazard ratio (HR) 1.91; 95% confidence interval, 1.10–3.31). There was no significant increase in mortality when underweight patients were compared with ideal-weight patients (HR 1.47; 95% confidence interval, 0.57–3.79).Conclusions:Children who are overweight before hematopoietic stem cell transplantation have decreased survival compared with ideal-weight children.